Individual
JANIS ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 343-2993
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 343-2993
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17-P-09
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50072618
—
OR
Enumeration date
08/29/2013
Last updated
10/24/2017
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